| NPI | 1275413247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTRID FERNANDEZ ACOSTA Licensed Mental Health Counselor 407-978-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2026-04-03 |